Deep Learning-based Automatic Lung Segmentation on Multiresolution CT Scans from Healthy and Fibrotic Lungs in Mice.

Animal Studies CT Deep Learning Lung Lung Fibrosis Radiation Therapy Segmentation Thorax

Journal

Radiology. Artificial intelligence
ISSN: 2638-6100
Titre abrégé: Radiol Artif Intell
Pays: United States
ID NLM: 101746556

Informations de publication

Date de publication:
Mar 2022
Historique:
received: 07 04 2021
revised: 23 11 2021
accepted: 28 11 2021
entrez: 8 4 2022
pubmed: 9 4 2022
medline: 9 4 2022
Statut: epublish

Résumé

To develop a model to accurately segment mouse lungs with varying levels of fibrosis and investigate its applicability to mouse images with different resolutions. In this experimental retrospective study, a U-Net was trained to automatically segment lungs on mouse CT images. The model was trained ( The trained model yielded a high median DSC in both test datasets: 0.984 (interquartile range [IQR], 0.977-0.988) in group A and 0.966 (IQR, 0.955-0.972) in group B. The median HD in both test datasets was 0.47 mm (IQR, 0-0.51 mm [group A]) and 0.31 mm (IQR, 0.30-0.32 mm [group B]). Spatially resolved quantification of differences toward reference masks revealed two hot spots close to the air-tissue interfaces, which are particularly prone to deviation. Finally, for the higher-resolution mouse CT images, the median DSC was 0.905 (IQR, 0.902-0.929) and the median 95th percentile of the HD was 0.33 mm (IQR, 2.61-2.78 mm). The developed deep learning-based method for mouse lung segmentation performed well independently of disease state (healthy, fibrotic, emphysematous lungs) and CT resolution.

Identifiants

pubmed: 35391764
doi: 10.1148/ryai.210095
pmc: PMC8980878
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e210095

Informations de copyright

2022 by the Radiological Society of North America, Inc.

Déclaration de conflit d'intérêts

Disclosures of Conflicts of Interest: F.S. No relevant relationships. P.S. No relevant relationships. M.M. No relevant relationships. C.Z. No relevant relationships. C.S. No relevant relationships. K.R. No relevant relationships. N.B. No relevant relationships. A.K. No relevant relationships. H.W. Grant from Dutch Cancer Society (KWF Kankerbestrijding) to author’s institution; minority shares in Radiomics (Liege, Belgium). L.D. No relevant relationships. P.L. Member of the external Scientific Advisory Board at CRUK Lung Cancer Center of Excellence; member of the Scientific Advisory Board (CSA) at Convert Pharmaceuticals; Chief Scientific Advisor at Oncoradiomics; member of the Advisory Board at Benelux Health Ventures SPRL; Chief Scientific Advisor (CSA), member of the SAB at The Medical Cloud Company (MedC2); co-founder and shareholder (minority) at Oncoradiomics; co-founder and shareholder (minority) at Convert Pharmaceuticals; shareholder (minority) at The Medical Cloud Company (Med2C); shareholder (minority) at LivingMed Biotech; member of the Scientific Advisory Board at The Institute of Cancer Research; Scientific Advisor at Institut Jules Bordet, ULB; Scientific Advisor at Medneon; shareholder (minority) at Exomnis Biotech; scientific review of grants at Cancer Research UK Review Panel; consultant at Bristol Myers Squibb; Chief Scientific Advisor at Exomnis Biotech. J.D. Grants/contracts from/with Viewray, CRI – The Clinical Research Institute, Accuray International Sarl, RaySearch Laboratories, Vision RT, Merck Serono, Astellas Pharma, AstraZeneca, Siemens Healthcare, Solution Akademie, Ergomed PLC Surrey Research Park, Quintiles, Pharmaceutical Research Associates, Boehringer Ingelheim Pharma & CoKG, PTW-Freiburg Dr. Pychlau, Nanobiotix, Accuray, Varian; participation on a data safety monitoring board or advisory board for Merck Serono. A.A. Predict MarieCurie innovative training network (ITN), in frame of Horizon 2020 from the European Union, Marie Skłodowska-Curie grant agreement No 766276. M.K. No relevant relationships.

Références

Radiat Oncol. 2017 Nov 7;12(1):172
pubmed: 29116014
Clin Transl Radiat Oncol. 2018 Nov 02;14:25-32
pubmed: 30511024
Eur Radiol Exp. 2018 Oct 24;2(1):35
pubmed: 30353365
Hum Brain Mapp. 2019 Dec 1;40(17):4952-4964
pubmed: 31403237
Med Image Anal. 2010 Dec;14(6):723-37
pubmed: 20576463
PLoS One. 2017 Jan 6;12(1):e0169424
pubmed: 28060917
Med Image Anal. 2017 Dec;42:60-88
pubmed: 28778026
Nat Commun. 2020 Nov 6;11(1):5626
pubmed: 33159057
IEEE Trans Med Imaging. 2015 Oct;34(10):1993-2024
pubmed: 25494501
Int J Radiat Oncol Biol Phys. 2014 Nov 1;90(3):696-704
pubmed: 25200196

Auteurs

Francesco Sforazzini (F)

Clinical Cooperation Unit Radiation Oncology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120 Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.); Department of Radiation Oncology (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.) and National Center for Tumor Diseases (NCT) (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., J.D., A.A., M.K.), Heidelberg University Hospital (UKHD), Heidelberg, Germany; German Cancer Consortium (DKTK) Core Center Heidelberg, Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., J.D., A.A., M.K.); National Center for Radiation Oncology (NCRO), Heidelberg Institute for Radiation Oncology (HIRO), Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.); Heidelberg Ion-Beam Therapy Center (HIT), Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., J.D., A.A., M.K.); Department of Clinical Pathology, Suez Canal University, Ismailia, Egypt (M.M.); Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, China (C.Z.); and The D-Laboratory and the M-Laboratory, Department of Precision Medicine, GROW-School for Oncology, Maastricht University, Maastricht, the Netherlands (H.W., L.D., P.L.).

Patrick Salome (P)

Clinical Cooperation Unit Radiation Oncology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120 Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.); Department of Radiation Oncology (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.) and National Center for Tumor Diseases (NCT) (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., J.D., A.A., M.K.), Heidelberg University Hospital (UKHD), Heidelberg, Germany; German Cancer Consortium (DKTK) Core Center Heidelberg, Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., J.D., A.A., M.K.); National Center for Radiation Oncology (NCRO), Heidelberg Institute for Radiation Oncology (HIRO), Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.); Heidelberg Ion-Beam Therapy Center (HIT), Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., J.D., A.A., M.K.); Department of Clinical Pathology, Suez Canal University, Ismailia, Egypt (M.M.); Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, China (C.Z.); and The D-Laboratory and the M-Laboratory, Department of Precision Medicine, GROW-School for Oncology, Maastricht University, Maastricht, the Netherlands (H.W., L.D., P.L.).

Mahmoud Moustafa (M)

Clinical Cooperation Unit Radiation Oncology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120 Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.); Department of Radiation Oncology (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.) and National Center for Tumor Diseases (NCT) (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., J.D., A.A., M.K.), Heidelberg University Hospital (UKHD), Heidelberg, Germany; German Cancer Consortium (DKTK) Core Center Heidelberg, Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., J.D., A.A., M.K.); National Center for Radiation Oncology (NCRO), Heidelberg Institute for Radiation Oncology (HIRO), Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.); Heidelberg Ion-Beam Therapy Center (HIT), Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., J.D., A.A., M.K.); Department of Clinical Pathology, Suez Canal University, Ismailia, Egypt (M.M.); Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, China (C.Z.); and The D-Laboratory and the M-Laboratory, Department of Precision Medicine, GROW-School for Oncology, Maastricht University, Maastricht, the Netherlands (H.W., L.D., P.L.).

Cheng Zhou (C)

Clinical Cooperation Unit Radiation Oncology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120 Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.); Department of Radiation Oncology (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.) and National Center for Tumor Diseases (NCT) (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., J.D., A.A., M.K.), Heidelberg University Hospital (UKHD), Heidelberg, Germany; German Cancer Consortium (DKTK) Core Center Heidelberg, Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., J.D., A.A., M.K.); National Center for Radiation Oncology (NCRO), Heidelberg Institute for Radiation Oncology (HIRO), Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.); Heidelberg Ion-Beam Therapy Center (HIT), Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., J.D., A.A., M.K.); Department of Clinical Pathology, Suez Canal University, Ismailia, Egypt (M.M.); Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, China (C.Z.); and The D-Laboratory and the M-Laboratory, Department of Precision Medicine, GROW-School for Oncology, Maastricht University, Maastricht, the Netherlands (H.W., L.D., P.L.).

Christian Schwager (C)

Clinical Cooperation Unit Radiation Oncology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120 Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.); Department of Radiation Oncology (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.) and National Center for Tumor Diseases (NCT) (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., J.D., A.A., M.K.), Heidelberg University Hospital (UKHD), Heidelberg, Germany; German Cancer Consortium (DKTK) Core Center Heidelberg, Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., J.D., A.A., M.K.); National Center for Radiation Oncology (NCRO), Heidelberg Institute for Radiation Oncology (HIRO), Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.); Heidelberg Ion-Beam Therapy Center (HIT), Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., J.D., A.A., M.K.); Department of Clinical Pathology, Suez Canal University, Ismailia, Egypt (M.M.); Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, China (C.Z.); and The D-Laboratory and the M-Laboratory, Department of Precision Medicine, GROW-School for Oncology, Maastricht University, Maastricht, the Netherlands (H.W., L.D., P.L.).

Katrin Rein (K)

Clinical Cooperation Unit Radiation Oncology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120 Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.); Department of Radiation Oncology (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.) and National Center for Tumor Diseases (NCT) (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., J.D., A.A., M.K.), Heidelberg University Hospital (UKHD), Heidelberg, Germany; German Cancer Consortium (DKTK) Core Center Heidelberg, Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., J.D., A.A., M.K.); National Center for Radiation Oncology (NCRO), Heidelberg Institute for Radiation Oncology (HIRO), Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.); Heidelberg Ion-Beam Therapy Center (HIT), Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., J.D., A.A., M.K.); Department of Clinical Pathology, Suez Canal University, Ismailia, Egypt (M.M.); Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, China (C.Z.); and The D-Laboratory and the M-Laboratory, Department of Precision Medicine, GROW-School for Oncology, Maastricht University, Maastricht, the Netherlands (H.W., L.D., P.L.).

Nina Bougatf (N)

Clinical Cooperation Unit Radiation Oncology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120 Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.); Department of Radiation Oncology (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.) and National Center for Tumor Diseases (NCT) (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., J.D., A.A., M.K.), Heidelberg University Hospital (UKHD), Heidelberg, Germany; German Cancer Consortium (DKTK) Core Center Heidelberg, Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., J.D., A.A., M.K.); National Center for Radiation Oncology (NCRO), Heidelberg Institute for Radiation Oncology (HIRO), Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.); Heidelberg Ion-Beam Therapy Center (HIT), Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., J.D., A.A., M.K.); Department of Clinical Pathology, Suez Canal University, Ismailia, Egypt (M.M.); Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, China (C.Z.); and The D-Laboratory and the M-Laboratory, Department of Precision Medicine, GROW-School for Oncology, Maastricht University, Maastricht, the Netherlands (H.W., L.D., P.L.).

Andreas Kudak (A)

Clinical Cooperation Unit Radiation Oncology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120 Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.); Department of Radiation Oncology (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.) and National Center for Tumor Diseases (NCT) (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., J.D., A.A., M.K.), Heidelberg University Hospital (UKHD), Heidelberg, Germany; German Cancer Consortium (DKTK) Core Center Heidelberg, Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., J.D., A.A., M.K.); National Center for Radiation Oncology (NCRO), Heidelberg Institute for Radiation Oncology (HIRO), Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.); Heidelberg Ion-Beam Therapy Center (HIT), Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., J.D., A.A., M.K.); Department of Clinical Pathology, Suez Canal University, Ismailia, Egypt (M.M.); Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, China (C.Z.); and The D-Laboratory and the M-Laboratory, Department of Precision Medicine, GROW-School for Oncology, Maastricht University, Maastricht, the Netherlands (H.W., L.D., P.L.).

Henry Woodruff (H)

Clinical Cooperation Unit Radiation Oncology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120 Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.); Department of Radiation Oncology (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.) and National Center for Tumor Diseases (NCT) (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., J.D., A.A., M.K.), Heidelberg University Hospital (UKHD), Heidelberg, Germany; German Cancer Consortium (DKTK) Core Center Heidelberg, Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., J.D., A.A., M.K.); National Center for Radiation Oncology (NCRO), Heidelberg Institute for Radiation Oncology (HIRO), Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.); Heidelberg Ion-Beam Therapy Center (HIT), Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., J.D., A.A., M.K.); Department of Clinical Pathology, Suez Canal University, Ismailia, Egypt (M.M.); Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, China (C.Z.); and The D-Laboratory and the M-Laboratory, Department of Precision Medicine, GROW-School for Oncology, Maastricht University, Maastricht, the Netherlands (H.W., L.D., P.L.).

Ludwig Dubois (L)

Clinical Cooperation Unit Radiation Oncology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120 Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.); Department of Radiation Oncology (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.) and National Center for Tumor Diseases (NCT) (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., J.D., A.A., M.K.), Heidelberg University Hospital (UKHD), Heidelberg, Germany; German Cancer Consortium (DKTK) Core Center Heidelberg, Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., J.D., A.A., M.K.); National Center for Radiation Oncology (NCRO), Heidelberg Institute for Radiation Oncology (HIRO), Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.); Heidelberg Ion-Beam Therapy Center (HIT), Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., J.D., A.A., M.K.); Department of Clinical Pathology, Suez Canal University, Ismailia, Egypt (M.M.); Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, China (C.Z.); and The D-Laboratory and the M-Laboratory, Department of Precision Medicine, GROW-School for Oncology, Maastricht University, Maastricht, the Netherlands (H.W., L.D., P.L.).

Philippe Lambin (P)

Clinical Cooperation Unit Radiation Oncology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120 Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.); Department of Radiation Oncology (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.) and National Center for Tumor Diseases (NCT) (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., J.D., A.A., M.K.), Heidelberg University Hospital (UKHD), Heidelberg, Germany; German Cancer Consortium (DKTK) Core Center Heidelberg, Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., J.D., A.A., M.K.); National Center for Radiation Oncology (NCRO), Heidelberg Institute for Radiation Oncology (HIRO), Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.); Heidelberg Ion-Beam Therapy Center (HIT), Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., J.D., A.A., M.K.); Department of Clinical Pathology, Suez Canal University, Ismailia, Egypt (M.M.); Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, China (C.Z.); and The D-Laboratory and the M-Laboratory, Department of Precision Medicine, GROW-School for Oncology, Maastricht University, Maastricht, the Netherlands (H.W., L.D., P.L.).

Jürgen Debus (J)

Clinical Cooperation Unit Radiation Oncology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120 Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.); Department of Radiation Oncology (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.) and National Center for Tumor Diseases (NCT) (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., J.D., A.A., M.K.), Heidelberg University Hospital (UKHD), Heidelberg, Germany; German Cancer Consortium (DKTK) Core Center Heidelberg, Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., J.D., A.A., M.K.); National Center for Radiation Oncology (NCRO), Heidelberg Institute for Radiation Oncology (HIRO), Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.); Heidelberg Ion-Beam Therapy Center (HIT), Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., J.D., A.A., M.K.); Department of Clinical Pathology, Suez Canal University, Ismailia, Egypt (M.M.); Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, China (C.Z.); and The D-Laboratory and the M-Laboratory, Department of Precision Medicine, GROW-School for Oncology, Maastricht University, Maastricht, the Netherlands (H.W., L.D., P.L.).

Amir Abdollahi (A)

Clinical Cooperation Unit Radiation Oncology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120 Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.); Department of Radiation Oncology (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.) and National Center for Tumor Diseases (NCT) (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., J.D., A.A., M.K.), Heidelberg University Hospital (UKHD), Heidelberg, Germany; German Cancer Consortium (DKTK) Core Center Heidelberg, Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., J.D., A.A., M.K.); National Center for Radiation Oncology (NCRO), Heidelberg Institute for Radiation Oncology (HIRO), Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.); Heidelberg Ion-Beam Therapy Center (HIT), Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., J.D., A.A., M.K.); Department of Clinical Pathology, Suez Canal University, Ismailia, Egypt (M.M.); Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, China (C.Z.); and The D-Laboratory and the M-Laboratory, Department of Precision Medicine, GROW-School for Oncology, Maastricht University, Maastricht, the Netherlands (H.W., L.D., P.L.).

Maximilian Knoll (M)

Clinical Cooperation Unit Radiation Oncology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120 Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.); Department of Radiation Oncology (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.) and National Center for Tumor Diseases (NCT) (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., J.D., A.A., M.K.), Heidelberg University Hospital (UKHD), Heidelberg, Germany; German Cancer Consortium (DKTK) Core Center Heidelberg, Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., J.D., A.A., M.K.); National Center for Radiation Oncology (NCRO), Heidelberg Institute for Radiation Oncology (HIRO), Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., A.K., J.D., A.A., M.K.); Heidelberg Ion-Beam Therapy Center (HIT), Heidelberg, Germany (F.S., P.S., M.M., C.Z., C.S., K.R., N.B., J.D., A.A., M.K.); Department of Clinical Pathology, Suez Canal University, Ismailia, Egypt (M.M.); Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, China (C.Z.); and The D-Laboratory and the M-Laboratory, Department of Precision Medicine, GROW-School for Oncology, Maastricht University, Maastricht, the Netherlands (H.W., L.D., P.L.).

Classifications MeSH